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Individual

DR. SCOTT T HAGEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1100 E BROADWAY, REDWOOD FALLS, MN 56283
(507) 637-2985
(507) 637-6678
Mailing address
1100 E BROADWAY, REDWOOD FALLS, MN 56283
(507) 637-2985
(507) 637-6678

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2036
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277823800
MN
Enumeration date
02/27/2006
Last updated
07/08/2007
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